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Government GazetteStaatskoerant

REPUBLIC OF SOUTH AFRICA

REPUBLIEK VAN SUID-AFRIKA

Vol. 573 Pretoria, 15 MarchMaart 2013 No. 36254

N.B. The Government Printing Works willnot be held responsible for the quality of“Hard Copies” or “Electronic Files”submitted for publication purposes

2 No. 36254 GOVERNMENT GAZETTE, 15 MARCH 2013

IMPORTANT NOTICE

The Government Printing Works will not be held responsible for faxed documents not received dueto errors on the fax machine or faxes received which are unclear or incomplete. Please be advisedthat an “OK” slip, received from a fax machine, will not be accepted as proof that documents werereceived by the GPW for printing. If documents are faxed to the GPW it will be the sender’s respon-sibility to phone and confirm that the documents were received in good order.

Furthermore the Government Printing Works will also not be held responsible for cancellations andamendments which have not been done on original documents received from clients.

CONTENTS • INHOUD

GOVERNMENT NOTICE

Labour, Department of

Government Notice

197 Compensation for Occupational Injuries and Diseases Act (130/1993) as amended: Rules, Forms and Particulars which shall be furnished in terms of the Act .................................................................................................................. 3 36254

GazetteNo.

PageNo.No.

Rules, Forms and Particulars which shall be furnished in terms of theCompensation for Occupational Injuries and Diseases Act, 1993 (Act 130 of1993, as Amended).

I, Shadrack Shivumbahomu Mkhonto, Compensation Commissioner, herebyrepeal under Section 6 A (b) of the Compensation for Occupational Injuriesand Diseases Act, 1993 (Act 130 of 1993, as Amended) item 3 of myprescription as published under notice no. 150 in the following GovernmentGazette no 34041 of 23 February 2011 and replace it with the following:-

Return of Earnings [Section 82 (1)]3. "The Return of Earnings shall be onForm W.As. 8 [AnnexureA] with theparticulars required therein, as thecase maybe".

S. S. MKHONTO.COMPENSATION COMMISSIONER

STAATSKOERANT, 15 MAART 2013 No. 36254 3

GOVERNMENT NOTICE

DEPARTMENT OF LABOURNo. 197 15 March 2013

labourDepartment:Department:LabourREPUBLIC OF SOUTH AFRICA

CO1DA, 1993 (ACT130 OF 1993) Section 82(1)

The Hon , Prof , Dr , Rev , Messrs , Mr , Ms ,

RETURN OF EARNINGS

2012To be f completed and submitted by al employers to:Assessments DINsion

El 955, Pretoria, 0001

Compensation House

Cnr Hamilton Street & Soutpansbeig Road, ArcadiaII Call centre 0660105350

Only original document will be accepted.

Infommtion relating to earnings (staff costs)should be kept for at least 4 years.

REFERENCE/CA NUM

BP NO.Year of assessment

Date of issue

return must be submitted on or be

THIS FORM CAN ALSO BE SUBMITTED ON LINE: www.labourgov.zaREFER TO THE ENCLOSED GUIDELINES BEFORE COMPLETING THE RETURN. Da NOT SUBMIT THIS FORM IF REGISTERED ONLINE

"N;L

1.1 Co/CC Registration name (per Cipro).Sole Proprietor. Name of owner.

1 2 Tradingname (if applicable)1.3 Co or CC number.

1.4 Employees ID number.

1.5 Unemployment Insurance no.

1.6 Postal address.

1.7 Physical address

1.8 Telephone number.

1.9 Fax number.

1.10 Cell phone number.1,11 E. Mail address.

1.12 PartIculars of operation.

Describe the nature of business/

farming activities/ goods sold or

manufactured or services rendered.

b) Descnbe the matenals used

In the manufacturing of goods.

c) Describe the nature and extent

of construction/erection

undertaken

d) In case of farming,indicate the nature thereof,

e) Do you use tractors and/or

power-driven saws

1.13 Status of business.

a) Ongoing (under same ownership

and control as previous year.) Yes:

b) Ceased Date:

c) Sold with Date:

Assets only. Yes:

Assets & liabilities Yes:

Name & Address of

New owner / CC or Co

Region

Code

Code

2013.;

Li_

1 L _

T F7 1I.

Yes NO

d) Liquidated/Sequestrated Date

By Court Order Quote Estate no NO

e) Owner deceased Date.

)

No:)1

1 r

No:

No:

eo

T

4 No. 36254 GOVERNMENT GAZETTE, 15 MARCH 2013

PART 2: Reference number:

Declaration 01 March 2012 - 28 February 2013I, the undersigned confirm that the number of employees and their earnings(staff costs/salaries & wages) for the 12 months ending 2892/2013 are as follows:

Number of -s;nployees and Number of directors/membersamount of earnings (staff and amount of earnings (staffcosts/salaries & wages) permonth paid to all employees(excluding directors of aCompany or members of a closecorporation) up to a maximum ofR292,032 per person for theabove period

Month

MarAprMayJunJulAugSep[OctNovDecJan`Feb

Total

Number Earnings(Rands only)

costs/salaries & wages) permonth paid to directors of aCompany or members of a CloseCorporation up to a maximum ofR292,032 per person for theabove period

Number of employees and Number of direstoralmembers andamount of in (staff amount of earnings (staffcosts/salaries & wages) permonth expected to be paid to allemployees (excluding directors of

Company or members of adose corporation) up to amaximum of Ft 312 400 perperson for the above period.

arnings -(Rands only)

Earnings -(Rands only)

costslsalaries & wages) per monthexpected to be paid to &actors of aCompany or members of a CloseCorporation up to a maximum of R 312480 per person for the above period.

arnings -

-ESTI MATED EARNINGS

earnings:

Total earnings of both employeesand Directors/Members:

Total cash value of free food and/ orquarters. (if applicable) in Rands.GRAND TOTAL OF EARNINGSState in words the grand total of earnings: State in words the grand total

Give reason where earnings differ by 30% from the previous year:

0041aiiition by iiiiiii;i7 °-"/

Name: Name:

Designation: Designation:

SIGNATURE: SIGNATURE:Date: Date:Telephone No: Telephone No:

!e-mail Address: e-mail Address:

dompaiiii3anidnlyiforhiatioh: , Office use only - Codified.

Bank Name.Account No:franch code.Branch Name:Type of Acc:

STAATSKOERANT, 15 MAART 2013 No. 36254 5

0 "1. IF THE RETURN IS NOT SUBMITTED TO THIS OFFICE ON OR BEFORE 31 MARCH 2013, A PENALTY NOT EXCEEDING

10% (TEN PERCENT) OF THE FINAL ASSESSMENT, MAY BE IMPOSED, IN TERMS OF SECTION 83(6)(b). THE ACTEMPOWERS THE DIRECTOR GENERAL IN TERMS OF SEC 83(6)(a) TO ESTIMATE THE EARNINGS.

2. KINDLY TAKE NOTE THAT THE RETURN OF EARNINGS, W.As.8, IS MAILED TO ALL REGISTERED EMPLOYERS IN THEBEGINNING OF THE YEAR. THE ONUS IS UPON THE EMPLOYER TO NOTIFY MY OFFICE BY THE 1s' OF MARCH IF THERETURN OF EARNINGS FORM HAS NOT BEEN RECEIVED. FORMS ARE AVAILABLE ON THE WEBSITE.

S

"Employee" means a person who has entered into, or works under a contract of service or apprenticeship or learnership with an employer,whether the contract is expressed or implied, oral or in writing, and whether remuneration is calculated by time or work done, or is in cash orin kind and includes

Casual / temporary employee employed for the purpose of the employer's business/farming activities.Working director of a Company or member of a Close Corporation/Body Corporate, who has entered into a contract of service, orof apprenticeship or leamership, in so far that the employee acts within the scope of his/her employment in terms of such contract(Excluding shareholders or "silent partners" who are only paid dividends or sharing profits).

NB. A sole owner or partners In a business/farming operation are not regarded as "employees" as contemplated by the Act and theirearnings should, therefore, not be included.A person provided by a labour broker, against payment to a client for the rendering of a service or the performance of work and forwhichservice or work such person is paid by the labour broker, is an employee of the labour broker The earnings of such persons should not beIncluded in the chent's Return of Earnings document.

Li a a *

Earnings are all payments made regularly, before any deductions, whether in money or in kind, to employees.The following list are not exhaustive, but are intended only to highlight certain remuneration Items for which there may be somedoubt as to their inclusion or exclusion.

Included in the gross earnings before any deductions are the following.Overtime of a regular nature, (not Intermittent or irregular overtime)Bonuses of any kind, including incentive bonuses and annual bonuses.Commission, even though the amount may vary from month to monthThe cash value of food and quarters supplied to employees as part of a remuneration package Cashvalue of fringe benefits such as a company car, free accommodation or accommodation at a reduced rate,etc.Travel and other allowances paid regularly, as part of the packageWhere the employee is remunerated in accordance with a package of benefits, all items forming part of the package, other thanemployer contnbutions such as medical aid contributionsEarnings/Drawings paid to working Directors of a Company or Members of a Close CorporationAttach a list with their names, ID numbers and addresses.

Excluded are the followingPayments of a reimbursive natureOvertime worked occasionally.Payments for specific non-recurring tasks which do not form part of an employee's normal dutiesEx gratin payments.Intangible fringe benefits such as the taxable portion of medical aid/pension contributions by the employer, etcPayments to cover special expenses such as subsistence and travelling costs, lunch and costs for business meetingsTravel and other allowances paid occasionallyProfit sharing of Directors and Members

Indicate the date in the space provided on the front page (item 1.13) and declare the final earnings paid to that date.

;

As a result of continuously nsing costs, the 2012 - 2013 minimum assessment has been increased to R 900 per annum

II Is.This letter can be obtained once the employer has complied with the requirements of the COID Act, inter aha

Submitting the latest return of earningsAssessment has been paid or instalments have been arranged and paidApplication should be made in good time, 5 working days before it is required, preferably on a letterhead, in writing If

arrangements made for instalments attached copy of receiptPlease quote the registration number, as well as telephone and fax numbers with dialling code.E-mailed requests are acceptable Use only the e-mail address cf.loareauestfattabouttiov.zaAny tampenng with the contents of these letters is a serious offence

The Compensation for Occupational Injunes and Diseases Act, 1993 and Amendments are available on the website at http//www.labour.gov.za

6 No. 36254 GOVERNMENT GAZETTE, 15 MARCH 2013

The office has introduced the online submission of Return of earnings. The employers can submit their return online.

'I)Compensation Fwd Re urn ofEa .-lings Subtr-lissio-na

Go to www.labour.gov.za under online services block/tab you click " " thenon the next screen click

I am a new user and I want to Register

G

Then fill in the required fields and apply

Useful Documents:roc..!;s§ -47 'gad

" to register

There is also a process flow attached on the website with steps to guide you.

If you encounter any problems please send an email to roe@labour.gov.za

STAATSKOERANT, 15 MAART 2013 No. 36254 7

RETURNS OF EARNINGS ONLINE SUBMISSION

8 No. 36254 GOVERNMENT GAZETTE, 15 MARCH 2013

36254—1

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